Safety of elective abdominal and vascular surgery during the COVID-19 pandemic: a retrospective single-center study
Abstract Background Patients with coronavirus disease 2019 (COVID-19) who undergo surgery have impaired postoperative outcomes and increased mortality. Consequently, elective and semi-urgent operations on the increasing number of patients severely affected by COVID-19 have been indefinitely postpone...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-09-01
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| Series: | European Journal of Medical Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40001-021-00583-x |
| _version_ | 1819111080265252864 |
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| author | Sven Flemming Mohammed K. Hankir Simon Kusan Manuel Krone Friedrich Anger Christoph-Thomas Germer Armin Wiegering |
| author_facet | Sven Flemming Mohammed K. Hankir Simon Kusan Manuel Krone Friedrich Anger Christoph-Thomas Germer Armin Wiegering |
| author_sort | Sven Flemming |
| collection | DOAJ |
| description | Abstract Background Patients with coronavirus disease 2019 (COVID-19) who undergo surgery have impaired postoperative outcomes and increased mortality. Consequently, elective and semi-urgent operations on the increasing number of patients severely affected by COVID-19 have been indefinitely postponed.in many countries with unclear implications on disease progression and overall survival. The purpose of this study was to evaluate whether the establishment of a standardized screening program for acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is sufficient to ensure high-quality medical and surgical treatment of COVID-19 and non-COVID-19 patients while minimizing in-hospital SARS-CoV-2 transmission. Methods The screening program comprised polymerase chain reaction (PCR) testing of nasopharyngeal swabs and a standardized questionnaire about potential symptoms for SARS-CoV-2 infection. All elective and emergency patients admitted to the surgical department of a tertiary-care hospital center in Lower Franconia, Germany, between March and May 2020 were included and their characteristics were recorded. Results Out of the study population (n = 657), 509 patients (77.5%) had at least one risk factor for a potentially severe course of COVID-19 and 164 patients (25%) were active smokers. The average 7-day incidence in Lower Franconia was 24.0/100,000 during the observation period. Preoperative PCR testing revealed four asymptomatic positive patients out of the 657 tested patients. No postoperative SARS-CoV-2 infection or transmission could be detected. Conclusion The implementation of a standardized preoperative screening program to both COVID-19 and non-COVID-19 patients can ensure high-quality surgical care while minimizing infection risk for healthcare workers and potential in-hospital transmission. |
| first_indexed | 2024-12-22T03:51:55Z |
| format | Article |
| id | doaj.art-41fe6c62178d4d84b7284775dfa62a8c |
| institution | Directory Open Access Journal |
| issn | 2047-783X |
| language | English |
| last_indexed | 2024-12-22T03:51:55Z |
| publishDate | 2021-09-01 |
| publisher | BMC |
| record_format | Article |
| series | European Journal of Medical Research |
| spelling | doaj.art-41fe6c62178d4d84b7284775dfa62a8c2022-12-21T18:39:58ZengBMCEuropean Journal of Medical Research2047-783X2021-09-012611510.1186/s40001-021-00583-xSafety of elective abdominal and vascular surgery during the COVID-19 pandemic: a retrospective single-center studySven Flemming0Mohammed K. Hankir1Simon Kusan2Manuel Krone3Friedrich Anger4Christoph-Thomas Germer5Armin Wiegering6Department of General, Visceral, Transplantation, Vascular and Pediatric Surgery, University Hospital WuerzburgDepartment of General, Visceral, Transplantation, Vascular and Pediatric Surgery, University Hospital WuerzburgDepartment of General, Visceral, Transplantation, Vascular and Pediatric Surgery, University Hospital WuerzburgInstitute of Hygiene and Microbiology, University of WuerzburgDepartment of General, Visceral, Transplantation, Vascular and Pediatric Surgery, University Hospital WuerzburgDepartment of General, Visceral, Transplantation, Vascular and Pediatric Surgery, University Hospital WuerzburgDepartment of General, Visceral, Transplantation, Vascular and Pediatric Surgery, University Hospital WuerzburgAbstract Background Patients with coronavirus disease 2019 (COVID-19) who undergo surgery have impaired postoperative outcomes and increased mortality. Consequently, elective and semi-urgent operations on the increasing number of patients severely affected by COVID-19 have been indefinitely postponed.in many countries with unclear implications on disease progression and overall survival. The purpose of this study was to evaluate whether the establishment of a standardized screening program for acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is sufficient to ensure high-quality medical and surgical treatment of COVID-19 and non-COVID-19 patients while minimizing in-hospital SARS-CoV-2 transmission. Methods The screening program comprised polymerase chain reaction (PCR) testing of nasopharyngeal swabs and a standardized questionnaire about potential symptoms for SARS-CoV-2 infection. All elective and emergency patients admitted to the surgical department of a tertiary-care hospital center in Lower Franconia, Germany, between March and May 2020 were included and their characteristics were recorded. Results Out of the study population (n = 657), 509 patients (77.5%) had at least one risk factor for a potentially severe course of COVID-19 and 164 patients (25%) were active smokers. The average 7-day incidence in Lower Franconia was 24.0/100,000 during the observation period. Preoperative PCR testing revealed four asymptomatic positive patients out of the 657 tested patients. No postoperative SARS-CoV-2 infection or transmission could be detected. Conclusion The implementation of a standardized preoperative screening program to both COVID-19 and non-COVID-19 patients can ensure high-quality surgical care while minimizing infection risk for healthcare workers and potential in-hospital transmission.https://doi.org/10.1186/s40001-021-00583-xSARS-CoV-2COVID-19Elective surgeryScreeningPCR |
| spellingShingle | Sven Flemming Mohammed K. Hankir Simon Kusan Manuel Krone Friedrich Anger Christoph-Thomas Germer Armin Wiegering Safety of elective abdominal and vascular surgery during the COVID-19 pandemic: a retrospective single-center study European Journal of Medical Research SARS-CoV-2 COVID-19 Elective surgery Screening PCR |
| title | Safety of elective abdominal and vascular surgery during the COVID-19 pandemic: a retrospective single-center study |
| title_full | Safety of elective abdominal and vascular surgery during the COVID-19 pandemic: a retrospective single-center study |
| title_fullStr | Safety of elective abdominal and vascular surgery during the COVID-19 pandemic: a retrospective single-center study |
| title_full_unstemmed | Safety of elective abdominal and vascular surgery during the COVID-19 pandemic: a retrospective single-center study |
| title_short | Safety of elective abdominal and vascular surgery during the COVID-19 pandemic: a retrospective single-center study |
| title_sort | safety of elective abdominal and vascular surgery during the covid 19 pandemic a retrospective single center study |
| topic | SARS-CoV-2 COVID-19 Elective surgery Screening PCR |
| url | https://doi.org/10.1186/s40001-021-00583-x |
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